Department of Obstetrics and Gynaecology, Hôpital Nord, Saint-Etienne University, Saint-Etienne, France.
Ann Chir Plast Esthet. 2021 Dec;66(6):476-480. doi: 10.1016/j.anplas.2021.09.002. Epub 2021 Oct 20.
Envenomation due to a Loxosceles spider bite is a rare event in France and no case concerning the breast has yet been reported. We report the case of a 48-year-old woman who presented at Saint-Etienne University Hospital with a pulsatile pain in her left breast two days after feeling a fleeting bite. An abscess was diagnosed and antibiotics were prescribed. A few days later, a necrotic zone appeared around the areola and 75 percent of the surrounding skin was inflamed. The patient reported a persistent fever and a burning pain in her breast. Loxoscelism was finally concluded and surgical debridement was undertaken, followed by supervised wound therapy and local skin care. Complete healing was achieved after 4 weeks of treatment. The diagnosis of loxoscelism is generally presumptive, as the bite is usually painless and the spider rarely captured. Its diagnosis should be considered when an abscess responds poorly to antibiotics.
在法国，被狼蛛咬伤导致中毒的情况较为罕见，目前尚未有乳房中毒的病例报告。我们报告了一例 48 岁女性的病例，她在感到短暂的咬伤两天后，于圣艾蒂安大学医院就诊，左侧乳房出现搏动性疼痛。诊断为脓肿，并开具了抗生素。几天后，乳晕周围出现了一个坏死区域，周围 75%的皮肤出现炎症。患者报告说乳房持续发热和灼痛。最终确诊为狼蛛中毒，并进行了外科清创术，随后进行了伤口监测治疗和局部皮肤护理。经过 4 周的治疗后完全愈合。由于咬伤通常无疼痛且蜘蛛很少被捕获，因此狼蛛中毒的诊断通常是推测性的。当脓肿对抗生素反应不佳时，应考虑其诊断。
